| NAME |
HEMORRHOIDAL-HC 25MG SUPP,RTL |
| VA GENERIC NAME |
HEMORRHOIDAL/HYDROCORTISONE |
| DOSAGE FORM |
SUPP,RTL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-05-16 00:00:00 |
| DSS NUMBER |
3 |
| NATIONAL FORMULARY NAME |
HEMORRHOIDAL/HYDROCORTISONE SUPP,RTL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HEMORRHOIDAL/HC 25MG RTL SUPP |
| VA PRODUCT IDENTIFIER |
H0030 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4007686 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2019-05-16 00:00:00
- STATUS: INACTIVE
|
